JESSE A SOODALTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129848

License Status

NOT RENEWED

Business

Title

First Name

JESSE

Middle

Last Name

SOODALTER

Business Name

JESSE A SOODALTER MD

Original Issue Date

03/27/2012

Effective Date

06/20/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017